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General NPI Number Information
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NPI Number | 1942946314
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Entity Type | Individual
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Provider Name | JOSHUA EDWARD MORMOL DPM
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Gender | Male
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 1920 TAMARACK RD
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City | NEWARK
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State | OH
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Zip | 43055-2303
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Country | US
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Telephone | 614-339-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 6847 STEWART RD APT 239
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City | CINCINNATI
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State | OH
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Zip | 45236-4242
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Country | US
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Telephone | 614-579-6398
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | APP-000568409
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License Number State | OH
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